Product image of Monuril (Fosfomycin) supplied by GNH India

Monuril

Active Ingredient:
Fosfomycin
Origin:
EU

Monuril (Fosfomycin)

Fosfomycin, the active ingredient in Monuril, is a phosphonic acid antibiotic presented as a 3 g oral powder for suspension for oral use. It is indicated for the treatment of uncomplicated urinary tract infection (cystitis) in adult women and provides a single‑dose therapy that targets bacterial cell‑wall synthesis.

GNH India supplies Monuril as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, ensuring quality‑controlled shipments that meet EU regulatory standards and provides technical support for product handling through our service team.

Manufacturer / TM Owner

Zambon S.P.A.

1
Pack/s
This product is added to your enquiry list

Request a Quote

Please fill out the form below and our team will get back to you shortly with pricing and further information.

A minimum order value applies. Our team will confirm the exact amount or quantity after reviewing your requirements.

Indications & Clinical Uses

Fosfomycin is an antibacterial agent used primarily for urinary tract infections caused by susceptible bacteria.

  • Uncomplicated urinary tract infection (cystitis): Provides a single‑dose oral therapy that eradicates common uropathogens and relieves infection symptoms.

How It Works

  • Fosfomycin inhibits bacterial cell‑wall synthesis by targeting the MurA enzyme, which catalyzes the formation of N‑acetylmuramic acid, a key precursor of peptidoglycan. By blocking this step, the drug prevents the construction of a functional cell wall, leading to bacterial lysis and eradication of susceptible organisms.

Side Effects

Fosfomycin is generally well tolerated, but adverse reactions can occur.

Common Side Effects

  • Nausea: mild to moderate stomach upset.
  • Diarrhea: loose stools, usually transient.
  • Headache: mild cranial discomfort.
  • Abdominal pain: cramping or discomfort in the abdomen.
  • Vomiting: occasional episodes of emesis.
  • Dyspepsia: indigestion or heartburn.

Serious or Rare Side Effects

  • Allergic reaction: rash, itching, or swelling.
  • Anaphylaxis: severe, potentially life‑threatening hypersensitivity.
  • Stevens‑Johnson syndrome: rare severe skin eruption.
  • Clostridioides difficile infection: severe colitis.
  • Hepatic dysfunction: elevated liver enzymes.
  • Severe neutropenia: marked reduction in white blood cells.

Precautions & Warnings

Before prescribing Fosfomycin, clinicians should consider patient‑specific factors and safety measures.

  • Renal function: assess kidney status, as dosing may need adjustment.
  • Hypersensitivity: avoid in patients with known allergy to fosfomycin or related compounds.
  • Pregnancy: use only if the potential benefit outweighs unknown risks.
  • Breastfeeding: consider potential exposure to the infant through milk.
  • Concomitant antibiotics: evaluate for possible additive toxicity.
  • Store below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Fosfomycin may interact with other medicines, requiring attention to avoid reduced efficacy or increased toxicity.

Major Interactions (Avoid)

  • Antacids containing aluminum or magnesium: may markedly reduce fosfomycin absorption.
  • Calcium‑containing supplements: can bind fosfomycin and lower its bioavailability.

Moderate Interactions (Monitor Closely)

  • Warfarin: fosfomycin may potentiate anticoagulant effect, requiring INR monitoring.
  • Oral contraceptives: possible reduction in hormonal efficacy, advise backup contraception.
  • Diuretics: monitor electrolyte balance as fosfomycin can affect sodium handling.

Frequently Asked Questions

Monuril contains fosfomycin, an antibacterial indicated for the treatment of uncomplicated urinary tract infection (cystitis) in adult women. It is administered as a single oral dose that targets common uropathogens, providing rapid symptom relief and bacterial eradication.

Fosfomycin blocks the bacterial enzyme MurA, preventing the formation of N‑acetylmuramic acid, an essential building block of the peptidoglycan cell wall. Without a functional cell wall, bacteria cannot survive, leading to their death and clearance of the infection.

The prescribed dose of Monuril is determined by the treating clinician based on the patient’s condition and local guidelines. Typically, a single 3 g sachet is reconstituted for oral administration, but the exact regimen should follow the prescriber’s instructions.

The safety of fosfomycin in pregnancy and lactation has not been definitively established. It should only be used when the potential benefit justifies any possible risk to the fetus or infant, and the decision must be made by a qualified healthcare professional.

To request Monuril, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Monuril offers a single‑dose oral regimen, which differs from multi‑day courses of trimethoprim‑sulfamethoxazole or fluoroquinolones. Its unique mechanism targeting cell‑wall synthesis can be effective against resistant strains, but susceptibility testing is recommended to ensure optimal therapy.

Monuril should be stored below 25 °C in its original packaging, protected from moisture and direct sunlight. The powder for suspension remains stable at room temperature, but reconstituted suspension should be used promptly and discarded after the recommended period.

Monuril is supplied as a 3 g oral powder that is mixed with a measured amount of water to create a suspension. The patient drinks the prepared suspension once, following the instructions provided by the healthcare professional.

Serious risks, though rare, include severe allergic reactions such as anaphylaxis, Stevens‑Johnson syndrome, and Clostridioides difficile‑associated colitis. Patients should seek immediate medical attention if they develop rash, fever, persistent diarrhea, or signs of hypersensitivity.

Monuril should be avoided in individuals with a known hypersensitivity to fosfomycin or any component of the formulation. Caution is also advised for patients with severe renal impairment, pregnant or breastfeeding women unless clearly indicated, and those taking interacting medications without proper monitoring.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

Disclaimer

At GNH India, we aim to provide information that is expert-reviewed, accurate, and reliable. However, all content on this platform is intended for general informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. While efforts are made to maintain accuracy and currency, the information may contain errors, omissions, or may not reflect the latest developments. Always consult a qualified healthcare professional regarding any medical concerns.

All product names, brand names, trademarks and registered trademarks displayed on this website are the property of their respective owners. This website and its operator are not affiliated with, endorsed by, or authorized by any such trade mark owners unless expressly stated. Any reference to product names or trademarks is made solely for descriptive and informational purposes. No commercial relationship, sponsorship, approval, or association with any trademark owner should be inferred. Information provided herein does not constitute promotion, advertising, or an offer for sale of any medicinal product and is intended solely for general informational purposes.

All trademarks and brand names displayed on this website are used strictly in accordance with the provisions of the Trade Marks Act, 1999, specifically Sections 30 and 30(1) governing fair use. Trademark ownership has been accurately attributed under the "Manufacturer/ TM Owner" section in compliance with statutory requirements.

Ordering Process

Simple, Secure, and Seamless

Learn how our streamlined ordering process guarantees fast, compliant, and reliable access to essential medicines worldwide.

Quote request form

01

Submit Quote Request Form

Tell us what medications you need by filling out our simple form and uploading a valid document.

Price estimate review

02

We Review & Send Estimate

Our licensed pharmacists will verify your details and provide you with a detailed cost estimate.

Secure payment

03

Confirm & Make Payment

Discuss any queries, approve the estimate, and complete your payment.

Worldwide delivery

04

Get Delivered

Your medicines, safely packed and delivered to your door or nearest airport — hassle-free.

Quality You Can Trust

Our internationally recognized certifications underscore our commitment to safety, quality, and excellence.